Health

Frequently Asked Questions

How do I add my new wife or child to my health plan?

Call the Fund office at 316-264-2339 in Wichita, or 1-800-423-6517 everywhere else, and we will mail you out the form.

Follow the instructions on the form, making sure you list all eligible dependents (please see your SPD for a description), complete the bottom portion of the form, and sign it! If you are adding a dependent, we must have supporting documentation (i.e. marriage certificate, birth certificate, adoption papers, etc.) If you are removing dependents (i.e., divorce), we need a complete copy of your divorce decree, including any child/medical support orders & property settlements.
Then mail it to:
H & W Fund,
505 S Broadway, Ste. 117,
Wichita, KS 67202-3922

I was recently divorced. Do you need a copy of my divorce decree & why?

First of all, we need to remove your spouse and any step-children from your coverage. The only way we can do that is if you send us a complete copy of your divorce decree, including any child/medical support orders & property settlements, along with a completed Subscriber Information Update. Until that is done, you, the member, will be responsible for any claims that are paid in error.

Doing this NOW will alleviate any delays when you retire as you will not be able to receive any of your retirement money until we receive your divorce decree & determine whether any money should be paid to an alternate payee.

Download & print form. Complete information on page one, and have your physician complete page 2 before sending both pages to our office.
Claim Forms must be received in the Fund Office within one year and 90 days from the date services were provided.

This form is used for adding or deleting dependants. If you get married, divorced, or have a child, this is the form that needs to be completed & mailed to the Fund Office. Supporting documentation must accompany this sheet (i.e. marriage license, divorce decree, state issued birth certificate, copy of social security cards, etc.).

Download & print form. Fill out required sections and send back to us at address listed on bottom of form.
Release of Personal Information form must be on file for us to speak with person(s) listed other than yourself.

The Plan provides $15,000 of Death Benefits and $15,000 of Accidental Death or Dismemberment Benefits. There is an additional benefit of $5,000 if you are killed in an automobile accident while wearing a seat belt.
Dependents are not covered.
It is very important that the Fund Office have an up to date “Beneficiary Form” on file.
If you die, your beneficiary should contact the Fund Office at 316-264-2339 (or 800-423-6517 if you do not live in the Wichita area) and forward a certified copy of the Certificate of Death to us.